Mitchell Scott Humphrey (NPI# 1538168315, PAC ID# 6305949330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538168315 |
| PAC ID by PECOS | 6305949330 |
| Professional Enrollment ID | I20070313000326 |
| Full Name | Mitchell Scott Humphrey |
| Organization Legal Name | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| Address |
213 E 41st St Glenwood Family Medicine Erie PA 16504-2009 |
| Phone Number | 8148644987 |
| Gender | M |
| Credential | DO |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870405137 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390009 | SAINT VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 213 E 41st St, Glenwood Family Medicine, Erie, PA 16504-2009 | 8148644987 | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| 3416 State St, Erie, PA 16508-2832 | 8144567548 | DERMATOLOGY ASSOC OF ERIE |
| Organization Legal Name | ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Conway | Family Medicine | St Vincent Medical Education and Research Institute Inc | 3822 Colonial Ave, Erie, PA 16506-3826 |
| Kayla Gabbard | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 204 W 26th St, St Vincent Orthopaedic, Erie, PA 16508-1806 |
| Timothy Justin Germain | Plastic and Reconstructive Surgery | St Vincent Medical Education and Research Institute Inc | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 |
| Barbara S Peckham-devine | Certified Nurse Midwife (cnm) | St Vincent Medical Education and Research Institute Inc | 2265 Market Streete B, St Vincent Ob Gyn, Warren, PA 16365-4682 |
| Elias Fares | Infectious Disease | St Vincent Medical Education and Research Institute Inc | 2314 Sassafras St, Suite 310, Erie, PA 16502-2721 |
| Geoffrey B Betz | Family Medicine | St Vincent Medical Education and Research Institute Inc | 2501 W 12th St, Millcreek Family Practice and Internal Medicine, Erie, PA 16505-4527 |
| Maggie R Biebel | Family Medicine | St Vincent Medical Education and Research Institute Inc | 450 Erie St, Edinboro Medical Center, Edinboro, PA 16412-2200 |
| Mohammad Elmusa | Family Medicine | St Vincent Medical Education and Research Institute Inc | 2828 Sterrettania Rd, Erie, PA 16506-3050 |
| Jan K Brydon | Dermatology | St Vincent Medical Education and Research Institute Inc | 1910 Sassafras St, Suite 301, Erie, PA 16502-2716 |
| Cynthia Dahlkemper | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 4950 Buffalo Rd, Erie, PA 16510-2304 |
| Street Address |
213 E 41ST ST GLENWOOD FAMILY MEDICINE |
| City | ERIE |
| State | PA |
| Zip | 16504-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maribelle Gauna-estrada | Internal Medicine | St Vincent Medical Education and Research Institute Inc | 213 E 41st St, Glenwood Family Medicine, Erie, PA 16504-2009 |
| Justine M Kuroda | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 213 E 41st St, Glenwood Family Medicine, Erie, PA 16504-2009 |
| Cecilia T Urquico | Family Practice | St Vincent Medical Education and Research Institute Inc | 213 E 41st St, Glenwood Family Medicine, Erie, PA 16504-2009 |
| Kimberly A Thompson | Internal Medicine | Glenwood Internal Medicine, LLP | 213 E 41st St, Erie, PA 16504-2009 |
| Walter S Johns Iv | Internal Medicine | Glenwood Internal Medicine, LLP | 213 E 41st St, Erie, PA 16504-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan E Marita | Physician Assistant | Erie Physicians Network Upmc Inc | 3125 French St, Erie, PA 16504-1068 |
| Stephen Michael Wieczorek | Podiatry | 3263 Pine Ave, Erie, PA 16504-1159 | |
| David M Kruszewski | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Joseph A Carvelli | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Jacqueline Sue Smith | Physician Assistant | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| James A Gade | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Christian P. Dudenhoefer | Family Medicine | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Bethe S Viscuso | Nurse Practitioner | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Craig T Johnston | Family Practice | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Stephen P Kroth | Family Practice | Erie Physicians Network Upmc Inc | 3535 Pine Ave, Erie, PA 16504-1743 |
| Find all physicians in zip 16504 | |||
| City | ERIE |
| Zip Code | 16504 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ERIE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.